Individual provider Active NPI

Jan M Merin, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1225031321
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S9035 Issued in TX
Practice address
1330 Wirt Rd Ste R
Houston, TX 77055-4901
Phone
(346) 406-1730
Fax
(346) 388-1414
NPI assigned
May 23, 2005
Last updated
May 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S9035 TX Primary
Medical Oncology Physician 207RX0202X 92-304 NM

Addresses

Primary practice location

1330 Wirt Rd Ste R
Houston, TX 77055-4901

Mailing address

1330 Wirt Rd Ste R
Houston, TX 77055-4901
Phone (346) 406-1730

Other identifiers 2

IdentifierTypeStateIssuer
14065MedicaidNM
900521294OtherNMMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722004014 TX Practitioner - Internal Medicine 3678538733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
92-304NMMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kdunn and Associates, P.a. Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Kdunn and Associates, P.a. CurrentSince Jun 4, 2023 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. Medical Oncology Past Accepting new patients
RMC Brookhollow Med & Aesthetics Inc PastSince Jul 1, 2021 Accepting new patients
Los Alamos Physician Practices LLC Internal Medicine Past Accepting new patients

Locations

1330 Wirt Rd
Ste R
Houston, TX 77055
Phone (346) 406-1730

1401 Wirt Rd
#E2
Houston, TX 77055
Phone (713) 464-1051

1401 Wirt Rd
Ste E2
Houston, TX 77055
Phone (713) 464-1051

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1225031321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WIRT RD STE R",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554901",
            "telephone_number": "346-406-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WIRT RD STE R",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554901",
            "telephone_number": "346-406-1730",
            "fax_number": "346-388-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIN",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9035",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "92-304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14065",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "900521294",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.